Although sustaining a trauma and hematoma to the auricle does not usually affect the function of hearing, the cosmetic changes that follow can be disfiguring. Auricular hematoma, an injury very common amongst wrestlers and mixed-martial arts athletes, can lead to an irreversible condition known as cauliflower ear. It is therefore, essential to treat auricular hematoma as soon as it is diagnosed.
What makes up the auricle of the ear?
The auricle is mainly comprised of skin on both sides and cartilage in the middle. The cartilage gives the auricle its shape and structure. The lobule is the only location in the auricle that is does not have any cartilage under the skin.
What happens when I have an auricular hematoma?
A hematoma is a collection of blood inside the body. An auricular hematoma is caused when the trauma leads to accumulation of blood on top of the cartilage.
How do I know I have an auricular hematoma?
A typical auricular hematoma is swollen, red, and tender. Further more, the normal contour of the ear has changed. If the hematoma is bad, it can occlude the opening of the ear canal and lead to decrease hearing.
When should I see a doctor?
If you suspect that you have an auricular hematoma, you should see a physician immediately. If auricular hematomas are not addressed early they can lead to a condition called cauliflower ear.
What is cauliflower ear?
Cauliflower ear is the permanent change to the shape of the ear as the result of scarring. It occurs when auricular hematoma is not addressed immediately or appropriately. The pressure from the hematoma causes permanent damage to the cartilage of the ear and leads to scarring and disfiguring of the auricle. A cauliflower ear is much harder to treat and difficult to reverse. As such the best treatment for cauliflower ear is prevention with immediate and appropriate treatment of auricular hematoma.
What are my treatment options?
The only way to treat an auricular hematoma is with a procedure that includes making a small incision on the skin. Through this incision the hematoma is then drained completely. A pressure dressing is then applied to the ear so that another hematoma does not re-accumulate. This procedure is called incision and drainage of hematoma.
My trainer says that all you need is to use a needle to drain the blood is that true?
A needle drainage of auricular hematoma is not the appropriate treatment to prevent a cauliflower ear. Frequently, after needle drainage of the hematoma the blood begins to re-accumulate. Furthermore, the needle is not able to remove any blood clots that have already formed. As such, needle drainage of an auricular hematoma is not the appropriate treatment.